Fillable 2020 Georgia Energy Code Certificate-copy-1

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2020 Georgia Energy Code Certificate-copy-1

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File type: PDF

U.S.A. forms for City of Dahlonega

BROWSE CITY OF DAHLONEGA (GA) FORMS

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Building Summary
Builder Company Name Signature Contact (email/phone) Date
Heang System Type Eciency (AFUE,
HSPF, COP or other)
Cooling System Type Eciency (SEER,
EER or other)
Water Heang Type Eciency (EF or
other)
Gas Air condioner Gas
Heat pump Heat pump Electric
Other Other: Other:
2020 Georgia Residenal Energy Code Compliance Cercate
This cercate shall be posted on or near the electrical distribuon panel or air handler
Permit # ________________________________________________________________________
House Address or Community/Lot#
________________________________________________
Envelope Tightness Tesng (< 5 ACH50) (Envelope Tightness = Blower Door Fan Flow x 60 / Thermal Envelope Volume)
Blower Door Fan Flow (CFM50) Thermal Envelope Volume (
3
) Envelope Tightness (ACH50)
If mulfamily unit and conducng sampling, this unit is not required to be tested. Mark N/A.
Compliance Pathway (check one)
Building Envelope (when mulple values per component, list value covering largest area)
Prescripve: R401-404 Ceiling/Roof R-value Above-grade mass wall R-value
UA Trade-o: R402.1.5
Sloped/vaulted ceiling R-value Canlevered oors R-value
RESCheck: Keyed to 2015 IECC
Exterior wall R-value Window/Glass Door SHGC
Simulated Performance: R405
Kneewall (cavity and/or connuous) R-value Window/Glass Door U-factor
Foundaon (cavity and/or connuous) R-value Skylight SHGC
Energy Rang Index (ERI): R406
ERI Score
Floors over uncondioned R-value Skylight U-factor
Mechanical Summary
HVAC Company Name Contact (email/phone) Date
Duct Tightness Tesng (< 6 CFM25/100 
2
) (Total Duct Leakage = 100 x Fan Flow / Area Served)
Number of Heang and Cooling Systems
Duct Tightness Leakage Test Results System 1 System 2 System 3
If air handler and ductwork located enrely within in condi-
Locaon
Fan Flow (CFM25)
Area Served (
2
)
Total Duct Leakage (CFM25/100 
2
)
Rough In Total (RIT) or Post Construcon Total (PCT)
Yes No Manual J, S, D or equivalent complete?
Required Mechanical Venlaon
Type (check one) Design Rate (check one)
Exhaust Connuous
Design Venlaon
Rate (CFM)
Supply Intermient
Balanced
If intermient, list runme in min. per hour
Duct and Envelope Tightness Tesng Summary
Contact (email/phone) DET Verier ID DET Verier
APPENDIX RD
MANDATORY COMPLIANCE CERTIFICATE
Jurisdicon Logo and/or
Contact Informaon
Here
Version 1.0
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2020 Georgia Energy Code Certificate-copy-1

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Completed 12 July 2020

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